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Access, Awareness and Utilisation of Maternal Healthcare Services Among Tribal Women: Evidence from Mananthavady Taluk of Wayanad District, Kerala


Authors : Seena Devi; Rishana Sherin

Volume/Issue : Volume 11 - 2026, Issue 10 - October


Google Scholar : https://tinyurl.com/mtezjnra

DOI : https://doi.org/10.38124/ijisrt/26Oct662

Note : A published paper may take 4-5 working days from the publication date to appear in PlumX Metrics, Semantic Scholar, and ResearchGate.


Abstract : Maternal wellbeing among tribal women is influenced by healthcare access, income, location, cultural practices, health awareness and support from family members. This study examines maternal health, care-seeking practices and women’s views of maternity services in Mananthavady Taluk, Wayanad district. The study is descriptive and empirical and uses both primary and secondary information. The study follows a descriptive empirical approach. Questionnaire responses and field enquiries provided primary information from 100 tribal women, while the secondary material came from relevant studies, reports and health-related publications used in the project. The sample includes Paniya, Kurichiya, Adiya and Kuruma women. The results show comparatively high use of institutional care: 86 per cent of respondents reported hospital delivery and 96 per cent reported the availability of a hospital or health centre in their area. At the same time, maternal health awareness remains uneven, with 58 per cent reporting a medium level of awareness, 22 per cent high awareness and 20 per cent low awareness. Traditional beliefs continue to influence pregnancy-related practices among 56 per cent of respondents. Family support is also uneven: 33 per cent reported high support, 48 per cent average support and 19 per cent below-average support. The study further records seven deaths associated with pregnancy outcomes, of which five involved babies and two involved mothers. The findings indicate that improvement in physical access alone is insufficient. Maternal health policy in tribal areas requires culturally sensitive communication, stronger tribal ASHA outreach, nutrition and anemia prevention, early pregnancy registration, reliable referral transport and focused support for women in remote settlements.

Keywords : Maternal Health; Tribal Women; Health-Seeking Behaviour; Institutional Delivery; Mananthavady; Wayanad; ASHA Workers.

References :

  1. Ali, B., & Chauhan, S. (2020). Inequalities in the utilization of maternal healthcare in rural India: Evidence from the National Family Health Survey. BMC Public Health, 20, 1–13.
  2. Barman, K., Roy, R., Adhikary, M., Saha, A., & Debnath, T. (2024). Role of demographic and socio-economic factors influencing utilization of maternal healthcare services among Scheduled Tribe women: An experience from the EAG states. Global Social Welfare, 11(1), 1–15.
  3. Bhardwaj, S., & Tungdim, M. G. (2010). Reproductive health profile of Scheduled Caste and Scheduled Tribe women of Rajasthan, India. The Open Anthropology Journal, 3(1), 181–187.
  4. Chauhan, P., Chauhan, V. K. S., & Shrivastava, P. (2012). Maternal mortality among tribal women at a tertiary level of care in Bastar, Chhattisgarh. Journal of Health Sciences, 4(2), 132.
  5. Choudhury, A., Asan, O., & Choudhury, M. M. (2020). Mobile health technology to improve maternal health awareness in tribal populations: Mobile for Mothers. Journal of the American Medical Informatics Association.
  6. Choudhury, A., & Choudhary, M. (2022). Mobile for Mothers mHealth intervention to augment maternal health awareness and behaviour of pregnant women in tribal societies: A randomized quasi-controlled study. JMIR mHealth and uHealth, 10(9), e38368.
  7. Contractor, S. Q., Das, A., Dasgupta, J., & van Belle, S. (2018). Beyond the template: The needs of tribal women and their experiences with maternity services in Odisha, India. International Journal for Equity in Health, 17, 1–13.
  8. Islam, R. M. (2017). Utilization of maternal healthcare services among indigenous women in Bangladesh: A study on the Mru tribe. Women & Health, 57(1), 108–118.
  9. José, J. A., Shankar, S., Kumar, S. G., & Kar, S. S. (2014). Utilization of maternal healthcare services by tribal women in Kerala. Journal of Natural Science, Biology and Medicine.
  10. Navaneetham, K., & Dharmalingam, A. (2000). Maternal health care utilization in South India: Social setting and service use among women. [Study cited in the project].
  11. Soni, N. (2003). Maternal and child health care and health-seeking behaviour among the Kol tribe of Madhya Pradesh. Dr. Harisingh Gour Vishwavidyalaya, Sagar.
  12. Sudarsan, A., & Vithya, V. (2024). Unravelling the determinants of maternal well-being among tribal populations of Kerala: A systematic review. Journal of Racial and Ethnic Health Disparities.

Maternal wellbeing among tribal women is influenced by healthcare access, income, location, cultural practices, health awareness and support from family members. This study examines maternal health, care-seeking practices and women’s views of maternity services in Mananthavady Taluk, Wayanad district. The study is descriptive and empirical and uses both primary and secondary information. The study follows a descriptive empirical approach. Questionnaire responses and field enquiries provided primary information from 100 tribal women, while the secondary material came from relevant studies, reports and health-related publications used in the project. The sample includes Paniya, Kurichiya, Adiya and Kuruma women. The results show comparatively high use of institutional care: 86 per cent of respondents reported hospital delivery and 96 per cent reported the availability of a hospital or health centre in their area. At the same time, maternal health awareness remains uneven, with 58 per cent reporting a medium level of awareness, 22 per cent high awareness and 20 per cent low awareness. Traditional beliefs continue to influence pregnancy-related practices among 56 per cent of respondents. Family support is also uneven: 33 per cent reported high support, 48 per cent average support and 19 per cent below-average support. The study further records seven deaths associated with pregnancy outcomes, of which five involved babies and two involved mothers. The findings indicate that improvement in physical access alone is insufficient. Maternal health policy in tribal areas requires culturally sensitive communication, stronger tribal ASHA outreach, nutrition and anemia prevention, early pregnancy registration, reliable referral transport and focused support for women in remote settlements.

Keywords : Maternal Health; Tribal Women; Health-Seeking Behaviour; Institutional Delivery; Mananthavady; Wayanad; ASHA Workers.

Paper Submission Last Date
31 - October - 2026

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